NCT00637013

Operative Versus Non-operative Management of Subacromial Impingement

The Effectiveness and Cost-effectiveness of Operative Versus Non-operative Management of Subacromial Impingement

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (estimated)
• Sponsor: Central Finland Hospital District · Academic / Other
• Sex: All
• Age: 35 Years
• Healthy volunteers: Not accepted

Summary

The study aims at determining the effectiveness and cost-effectiveness of surgical management of subacromial impingement (including partial tears) compared to conservative treatment. The research setting is prospective, randomised, and controlled. The aim of the study is to search out evidence based data of indications for subacromial decompression. The investigators also aim at offering patients the most efficient and effective treatment and reduce the number of operations that do not have sufficient effectiveness. The data obtained will facilitate developing guidelines for referrals to a specialist when subacromial impingement is suspected. The investigators hypothesise that there are subgroups of patients suffering from subacromial impingement that benefit from surgery whereas other subgroups are best treated conservatively.

Detailed description

Subgroup analysis: * age * sex * duration of symptoms * presence of trauma before symptoms * presence of partial tear * degenerative findings * other findings in MRI or arthroscopy * type of operation * co-morbidities * occupation * pain (VAS) * objective shoulder function * activities of daily living

Conditions

• Subacromial Impingement Syndrome

Interventions

Type	Name	Description
PROCEDURE	Acromioplasty	Arthroscopic or open acromioplasty
PROCEDURE	Physiotherapy	Physiotherapy according to a standardized protocol

Timeline

• Start date: 2008-06-01
• Primary completion: 2017-01-01
• Completion: 2027-01-01
• First posted: 2008-03-17
• Last updated: 2024-02-13

Locations

3 sites across 1 country: Finland